NATASHA PUGH MOORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104971266

NATASHA PUGH MOORE (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 176958 (NC). The NPI Number for NATASHA PUGH MOORE (CRNA) is 1104971266

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
NATASHA PUGH MOORE (CRNA)
NPI
1104971266
Phone
(972) 715-5000
Address
12222 Merit Dr Ste 600
Enumeration Date
25 January 2007
Last Update Date
28 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6892168000
Graduation Year
2004 (22 years ago)
PAC ID
4486602638
Group Practice PAC ID
9537524343
Professional Enrollment ID
I20141013001712
Address ID
FL328277729OR6700XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for NATASHA PUGH MOORE (CRNA)

  • 12222 Merit Dr Ste 600

    Dallas, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • 2727, West Dr. Martin Luther King Jr Boulevard, Tampa, Hillsborough County, Florida, 33607, United States

    SUITE 310

    TAMPA, FL 336076383

    Phone: (813) 350-7244

    Fax: (813) 350-7246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Chiesi USA, Inc. ($67).

Total Amount

$119

General + Research + Ownership

Payments

3

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141013001712ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20221122000833ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20240402000716ICertified Registered Nurse Anesthetist (Crna)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537524343View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Pediatric MedicineGA
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is NATASHA PUGH MOORE (CRNA)'s NPI number?
NATASHA PUGH MOORE (CRNA)'s NPI is 1104971266 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NATASHA PUGH MOORE (CRNA)?
For scheduling context, NATASHA PUGH MOORE (CRNA) is shown as active in the registry.
How would a patient describe NATASHA PUGH MOORE (CRNA)'s focus?
For NATASHA PUGH MOORE (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NATASHA PUGH MOORE (CRNA)?
Travel planning: use Dallas, Texas as the reference point for NATASHA PUGH MOORE (CRNA), then confirm.
Does NATASHA PUGH MOORE (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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